MOUNTAIN COMPREHENSIVE CARE CENTER, INC, KY

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

NNKAN539QLG5

2024-07-20

104 S FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

Business Information

URL	www.mtcomp.org
Congressional District	05
State/Country of Incorporation	KY, USA
Activation Date	2023-07-25
Initial Registration Date	2004-03-18
Entity Start Date	1965-05-16
Fiscal Year End Close Date	Jun 30

Service Classifications

NAICS Codes	621112, 621330, 621399, 621420, 623220
Product and Service Codes	Q201

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	PROMOD BISHNOI
Role	MR.
Address	104 SOUTH FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

Title	ALTERNATE POC
Name	REBECKAH HALL
Address	104 SOUTH FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

Government Business
Title	PRIMARY POC
Name	PROMOD BISHNOI
Role	MR.
Address	104 SOUTH FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

Title	ALTERNATE POC
Name	JULIE PAXTON
Address	104 SOUTH FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

Past Performance
Title	PRIMARY POC
Name	REBECKAH HALL
Address	104 SOUTH FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

Title	ALTERNATE POC
Name	PROMOD BISHNOI
Role	MR.
Address	104 SOUTH FRONT AVE, PRESTONSBURG, KY, 41653, 1614, USA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2017

610663787

2019-07-15

MOUNTAIN COMPREHENSIVE CARE CENTER, INC

1088

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

1202

Signature of

Role	Plan administrator
Date	2019-07-03
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2016

610663787

2018-02-08

MOUNTAIN COMPREHENSIVE CARE CENTER, INC

920

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

1088

Signature of

Role	Plan administrator
Date	2018-02-01
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2015

610663787

2017-01-30

MOUNTAIN COMPREHENSIVE CARE CENTER, INC

724

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

920

Signature of

Role	Plan administrator
Date	2017-01-30
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2014

610663787

2016-04-18

MOUNTAIN COMPREHENSIVE CARE CENTER, INC

692

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

724

Signature of

Role	Plan administrator
Date	2016-04-18
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2013

610663787

2015-01-31

MOUNTAIN COMPREHENSIVE CARE CENTER

628

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

692

Signature of

Role	Plan administrator
Date	2015-01-29
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2012

610663787

2013-12-16

MOUNTAIN COMPREHENSIVE CARE CENTER

577

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

628

Signature of

Role	Plan administrator
Date	2013-12-13
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2011

610663787

2012-10-25

MOUNTAIN COMPREHENSIVE CARE CENTER

524

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

577

Signature of

Role	Plan administrator
Date	2012-10-16
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2010

610663787

2012-09-05

MOUNTAIN COMPREHENSIVE CARE CENTER

498

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

524

Signature of

Role	Plan administrator
Date	2012-08-27
Name of individual signing	KATHY GOBLE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2009

610663787

2011-01-10

MOUNTAIN COMPREHENSIVE CARE CENTER

299

Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

498

Signature of

Role	Plan administrator
Date	2011-01-03
Name of individual signing	DURWARD HALE
Valid signature	Filed with authorized/valid electronic signature

MOUNTAIN COMPREHENSIVE CARE CENTER FLEXIBLE BENEFIT PLAN

2009

610663787

2011-01-10

MOUNTAIN COMPREHENSIVE CARE CENTER

299

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

498

Signature of

Role	Plan administrator
Date	2011-01-03
Name of individual signing	DURWARD HALE
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	502
Effective date of plan	1995-07-01
Business code	621330
Sponsor’s telephone number	6068868572
Plan sponsor’s mailing address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Plan sponsor’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address

Administrator’s EIN	610663787
Plan administrator’s name	MOUNTAIN COMPREHENSIVE CARE CENTER
Plan administrator’s address	104 SOUTH FRONT AVENUE, PRESTONSBURG, KY, 41653
Administrator’s telephone number	6068868572

Number of participants as of the end of the plan year

Active participants

498

Signature of

Role	Plan administrator
Date	2010-12-13
Name of individual signing	DURWARD HALE
Valid signature	Filed with incorrect/unrecognized electronic signature

Registered Agent

Name	Role
PROMOD BISHNOI	Registered Agent

President

Name	Role
Roy Conley	President

Vice President

Name	Role
Teresa Petot	Vice President

Secretary

Name	Role
Ancil Lewis	Secretary

Treasurer

Name	Role
Jackie Tackett	Treasurer

Officer

Name	Role
Kevin Stumbo	Officer

Director

Name	Role
Paula Thompson	Director
Phillip Hunt	Director
Lynette Schindler	Director
Shirley Ratcliff	Director
LUTHER CORNETTE	Director
EUGENE FRAZIER	Director
REV. DVID C. ROSS	Director
CARROLL BURCHETT	Director
EARL TACKETT, JR.	Director

Incorporator

Name	Role
EUGENE FRAZIER	Incorporator
REV. DAVID C. ROSS	Incorporator
CARROLL BURCHETT	Incorporator
LUTHER CORNETTE	Incorporator
EARL TACKETT, JR.	Incorporator

Assumed Names

Name	Status	Expiration Date
MOUNTAIN COMPREHENSIVE CARE CENTER	Inactive	No data
MOUNTAIN CARE PHARMACY	Expiring	2024-12-18
HOMEPLACE CLINIC - PIKEVILLE	Inactive	2023-04-16
HOMEPLACE CLINIC - LOUISA	Inactive	2023-04-16
HOMEPLACE CLINIC - PRESTONSBURG	Inactive	2023-04-16
HOMEPLACE CLINIC - PAINTSVILLE	Inactive	2023-04-16
HOMEPLACE CLINIC - BELFRY	Inactive	2023-04-16
MOUNTAIN MENTAL HEALTH SERVICES	Inactive	2013-07-15

Filings

Name	File Date
Annual Report	2024-03-05
Annual Report	2023-06-05
Annual Report	2022-05-10
Annual Report	2021-05-20
Annual Report	2020-04-23
Certificate of Assumed Name	2019-12-18
Annual Report	2019-05-28
Annual Report	2018-05-31
Amendment	2018-05-29
Certificate of Assumed Name	2018-04-16
Certificate of Assumed Name	2018-04-16
Certificate of Assumed Name	2018-04-16
Certificate of Assumed Name	2018-04-16
Certificate of Assumed Name	2018-04-16
Annual Report	2017-02-22
Annual Report Amendment	2016-11-08
Annual Report Amendment	2016-08-18
Annual Report	2016-05-18
Annual Report	2015-06-04
Annual Report	2014-05-27

Name:	MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Jurisdiction:	Kentucky
Profit or Non-Profit:	Non-profit
Legal type:	Kentucky Corporation
Status:	Active
Standing:	Good
File Date:	17 May 1966 (59 years ago)
Organization Date:	17 May 1966 (59 years ago)
Organization Number:	0043900
Industry:	Health Services
Number of Employees:	Large (100+)
Primary County:	Floyd
Place of Formation:	KENTUCKY
Last Annual Report:	05 Mar 2024 (8 months ago)
Principal Office:	104 S. FRONT AVE., PRESTONSBURG, KY 41653
Principal Office ZIP code:	41653

MOUNTAIN COMPREHENSIVE CARE CENTER, INC.

Company Details

Unique Entity ID

form 5500

Registered Agent

President

Vice President

Secretary

Treasurer

Officer

Director

Incorporator

Assumed Names

Filings

Related by officers

Related by address